Q: How long will the casting and delivery appointments take?
A: We reserve one hour for most appointments. Certain items such as KAFO's, TLSO's and RGO's will take longer.
All custom orthoses require a casting appointment where we will make impressions of the limbs we are treating and take all necessary measurements. Fabrication typically takes two weeks from that day until the fitting or "delivery" appointment. During the delivery appointment we take great care to make any needed adjustments so that your child will be able to wear their orthosis full time from that day with no problems.
Q: What do I need to do to get the authorization from my insurance company?
A: Once we receive the prescription, insurance, and demographic information, we can take it from there. We will take all of the necessary steps to get the proper authorizations from the insurance companies and determine your coverage for the prescribed orthotics.
We will call you as soon as the authorizations are received, (generally 1-3 weeks), to schedule a casting appointment.
You are always welcome to call our office to check on the progress of the authorizations.
Q: What is a casting appointment like for my child?
A: All patients are thoroughly evaluated by our orthotists prior to casting. During the casting, we will put stockinette on the patient's feet and legs. We then put a ribbon and small tube into the sock which will create a barrier and tunnel where the cast will be removed.
We usually have our patients lay on their stomach during the casting for various types of AFO's. We have developed very specialized and unique 'corrective casting' techniques. Each limb will be wrapped in a plaster bandage, one at a time. This takes approximately 5-8 minutes for each foot for the plaster to harden. We hold the patient in corrected alignment while the plaster is hardening.
To take the cast off we use our "tickle machine", which is a cast cutter. It is important to know that the cast cutter does not spin, it only vibrates which is why it tends to tickle, not hurt.
We finish by taking foot measurements, cleaning up and answering any questions, or concerns. It generally takes us two weeks to fabricate our custom orthotics, unless otherwise specified. We are able to rush fabrication if the orthoses are needed by the patient ASAP.
Q; Do I need to bring anything to the casting or delivery appointment?
A: A favorite CD, book, or toy that will help them stay relaxed during the casting appointment will be great. We do have a nice selection of toys, books, and music as well. If your child is getting day time orthotics, you will need to bring shoes with you to the delivery appointment. Generally your child will need an athletic type shoe that is 1 to 1.5 sizes larger than they measure. This will be discussed at the casting appointment.
Q: When will I be billed for the orthotics?
A: Patients with Medicaid or Children's Special Health Care will never be billed for any orthoses. We always bill your insurance(s) prior to billing you for any copay or deductible. Once your insurance(s) has paid their portion in full we will send you an invoice with your remaining balance. The office staff will give you an approximate balance as well to give you a better idea of what to expect prior to starting the process.
Feel free to call our office and ask if we participate with your insurance.